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CODIE LYNN STREET LPN
NPI 1760130868
Licensed Practical Nurse in Cedar Bluff, VA

Active since March 17, 2022
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609(276) 963-3554 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Codie Lynn Street Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODIE LYNN STREET LPN (NPI 1760130868) is an individual licensed practical nurse in Cedar Bluff, Virginia, licensed in Virginia (0002100932) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1760130868
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCODIE LYNN STREETCredential: LPN
Location Address111 TOWN HOLLOW RDCedar Bluff, VA 24609-9622
Mailing Address111 Town Hollow RdCedar Bluff, VA 24609-9622
Phone(276) 963-3554
Sole ProprietorNo
Enumeration DateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1760130868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in VA · 0002100932
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
111 TOWN HOLLOW RD, Cedar Bluff, VA 24609
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAREN YVONNE WALDRON BA
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
MATT SMITH
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
PATTI DIANE WHITE LPC, LSATP, CSAC
Counselor (Professional)
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
SEDRIK SAULS
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 284-2601
MRS. TAMMY DARLENE WHITED BS
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 991-2542
CLINCH VALLEY TREATMENT CENTER
Health Maintenance Organization
111 TOWN HOLLOW RD, CEDAR BLUFF
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
MR. BENJAMIN TYLER BRANDON GOFF RN
Registered Nurse
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
JONATHON KINDER BA
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codie Street's NPI number?

The NPI number for Codie Street is 1760130868. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Codie Street located?

Codie Street practices at 111 Town Hollow Rd, Cedar Bluff, VA 24609. The listed phone number is (276) 963-3554.

What is Codie Street's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Codie Street was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.